Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $262.58 / $476.01	Facility		$58.34	$262.58	$476.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $58.34 / $58.34	Professional		$58.34	$58.34	$58.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $167.24 / $377.30	Professional		$54.45	$167.24	$377.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $131.46 / $283.31	Facility		$126.40	$131.46	$283.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $89.21 / $111.51	Professional		$42.64	$89.21	$111.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.10 / $158.10 / $158.10	Professional		$158.10	$158.10	$158.10
United Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $22.13 / $22.13	Facility		$22.13	$22.13	$22.13
United Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $32.67 / $70.78	Professional		$22.13	$32.67	$70.78